CeaseFire: A Public Health Approach to Reduce Shootings and Killings

The bloodshed in some of the Windy City's toughest neighborhoods declined substantially with the advent of the CeaseFire violence
reduction program.

A rigorous evaluation of the program, sponsored by the National Institute of Justice, confirmed anecdotal evidence that had
already led officials in other cities to adopt Chicago's CeaseFire model. Researchers found that CeaseFire had a significant
positive impact on many of the neighborhoods in which the program was implemented, including a decline of 16 to 28 percent
in the number of shootings in four of the seven sites studied.

"Overall, the program areas grew noticeably safer in six of the seven sites, and we concluded that there was evidence that
decreases in the size and intensity of shooting hot spots were linked to the introduction of CeaseFire in four of those areas.
In two other areas shooting hot spots waned, but evidence that this decline could be linked to CeaseFire was inconclusive,"
the researchers reported.

Led by Wesley Skogan, a political science professor at Northwestern University, the evaluation team meticulously measured
CeaseFire's impact on shootings and killings in Chicago.[1] The researchers spent three years evaluating the program. The findings are encouraging.

What Is CeaseFire?

CeaseFire uses prevention, intervention and community-mobilization strategies to reduce shootings and killings. The program
was launched in Chicago in 1999 by the Chicago Project for Violence Prevention at the University of Illinois at Chicago School
of Public Health. By 2004, 25 CeaseFire sites existed in Chicago and a few other Illinois cities. Some of the program's strategies
were adapted from the public health field, which has had notable success in changing dangerous behaviors. For example, public
health campaigns have helped to decrease smoking and increase childhood immunizations. In fact, the program's executive director,
Gary Slutkin, is an epidemiologist who views shootings as a public health issue.

As the researchers note in their report, a significant amount of street violence is "surprisingly casual in character." Men
shoot one another in disputes over women, or because they feel they have been "dissed." Simply driving through rival gang
territory can be fatal. In the gang world, one shooting can lead to another, starting a cycle of violence that can send neighborhoods
careening.

CeaseFire uses various tools to target this violence:

Community mobilization.

A major public education campaign.

Services, such as GED programs, anger-management counseling, drug or alcohol treatment, and help finding child care or looking
for a job, that can improve the lives of at-risk youth, including gang members.

In their evaluation, the researchers detail the program's approaches to building collaborations in the CeaseFire sites. The
successes and pitfalls were many, as could be expected in a complex program that required law enforcement agencies, businesses,
service providers, schools, community groups, political leaders and one of CeaseFire's most important partners, churches,
to work together.

Of all of the program's facets, the most notable involves hiring "violence interrupters."

CeaseFire's violence interrupters establish a rapport with gang leaders and other at-risk youth, just as outreach workers
in a public health campaign contact a target community. Working alone or in pairs, the violence interrupters cruise the streets
at night, mediating conflicts between gangs. After a shooting, they immediately offer nonviolent alternatives to gang leaders
and a shooting victim's friends and relatives to try to interrupt the cycle of retaliatory violence. Violence interrupters
differ from community organizers or social workers. Many are former gang members who have served time in prison, which gives
them greater credibility among current gang members.

CeaseFire's message travels from violence interrupters to gang members, from clergy to parishioners, and from community leaders
to the neighborhood through conversations, sermons, marches and prayer vigils. The message appears on banners at postshooting
rallies, which are a major part of the program. The message is simple: "The killing must stop!"

Measuring Results

The evaluation included two parts: process and outcomes.

In the process evaluation, the researchers looked at how the program worked in the field. They interviewed CeaseFire staff,
police, social service workers, and business, religious and community leaders at 17 sites. The researchers also interviewed
297 gang members and street youth to get their assessment of the program.

The evaluation of outcomes was challenging because the researchers had to find comparable areas without the program to make
valid comparisons to CeaseFire neighborhoods. They found seven such sites within the city of Chicago.

Statistical analysis: Analysis based on 17 years of data showed that, as a direct result of CeaseFire, shootings decreased 16-28 percent in four
of the seven sites studied. The researchers called this decrease in gun violence "immediate and permanent" in three of the
sites and "gradual and permanent" in the fourth site.

Hot spots analysis: Using crime mapping techniques, the researchers compared shooting patterns before and after CeaseFire started to those in
areas that had no CeaseFire program. Six of the sites grew noticeably safer overall, but the researchers could credit this
to CeaseFire in only four of those areas. In two sites, shooting hot spots waned, but there was not enough evidence to link
this to CeaseFire.

Gang social network analysis: Gang killings declined in two CeaseFire sites. The researchers also looked at the proportion of gang homicides that were
sparked by an earlier shooting. This violence was a special focus of the violence interrupters. In four sites, retaliatory
killings decreased more than in the comparison areas.

Impact on Young People

The researchers also looked at CeaseFire's impact on gang members and other at-risk street youth ("clients") that the program
targeted. More than 80 percent of CeaseFire's clients had past arrests, 56 percent had spent more than a day in jail, 20 percent
had been to prison, and about 40 percent had been on probation or parole. Most CeaseFire clients had been involved in a gang.
Nearly 60 percent had only a grade school education.

Many clients said in interviews that they had received significant help from CeaseFire. More than three-fourths of the clients
said they needed a job; 87 percent of that group received significant help. Of the 37 percent who said they wanted to get
back into school or a GED program, 85 percent said they had received help through the program. Nearly every one of the 34
percent who told the researchers that they wanted help in leaving a gang reported that they had received such guidance. However,
although two-thirds of the clients became active in CeaseFire after they had formed a relationship with a violence interrupter
— and indeed, half of them took part in marches and vigils after a shooting occurred in their neighborhood — 70 percent of
the clients were still in a gang when they were interviewed.

That said, the researchers found that CeaseFire had a positive influence on these at-risk youth.

"A striking finding was how important CeaseFire loomed in their lives," the researchers stated in the report. "Clients noted
the importance of being able to reach their outreach worker at critical moments — when they were tempted to resume taking
drugs, were involved in illegal activities, or when they felt that violence was imminent."

CeaseFire also had a positive influence on the violence interrupters themselves. The program employed 150, many of whom had
been in a gang and served time in prison. CeaseFire gave them a job in an environment where ex-offenders have limited opportunities
and, the researchers note, "Working for CeaseFire also offered them an opportunity for personal redemption and a positive
role to play in the communities where many had once been active in gangs."

Challenges and Cautions

Evaluating Chicago CeaseFire was not a neat laboratory experiment. Because the program runs in the real world, boundaries
were not always clear between CeaseFire neighborhoods and other neighborhoods. For example, the violence interrupters had
to go where gang members and other potential perpetrators of gun crime (and their potential victims) lived or hung out. "Spillover"
between targeted areas and other areas was inevitable, although the researchers pointed out that this could have resulted
in underestimating the program's impact.

Other programs, such as Project Safe Neighborhoods, were running in and around some of the CeaseFire sites during part of
the time the researchers evaluated the program. Despite their best efforts to avoid such areas when selecting comparison sites,
it was not always possible to do so. When this occurred, the researchers stated they were unable to determine empirically
that CeaseFire alone was responsible for the decrease in violence.

Other issues made it difficult to discover the exact effect of CeaseFire in as straightforward and precise a way as policymakers
and citizens might like. For example, in looking at the statistical data about violence, the researchers had to pick a month
as the pre- and post-CeaseFire demarcation. However, pinpointing a precise date for the start of a program as large and multifaceted
as CeaseFire is not easy. Community-mobilization and public education efforts got under way at different times in different
areas, and the hiring of violence interrupters came a few years after the program started.

Another issue to consider when looking at the findings is that the researchers were able to examine only events that were
reported to and recorded by police.

Finally, one overarching caveat to keep in mind is that Chicago experienced a huge drop in violence beginning in 1992.[2] As the researchers state in their report, "The reasons for this decline are, as elsewhere in the nation, ill-understood,
and we could not account for possible remaining differences between the target and comparison areas in terms of those obviously
important factors."

Still, It Worked

Despite these caveats, the evaluation showed that the program made neighborhoods safer. CeaseFire decreased shootings and
killings (including retaliatory murders in some of the sites), making shooting hot spots cooler and helping the highest-risk
youth.

The full report contains an extensive discussion of many topics, including:

How sites were selected and organized, and how the central CeaseFire management worked.

Challenges in areas with notably weak community bases.

The crucial role of local police in providing immediate information about a shooting. This cooperation was not automatic,
and readers may want to learn more about how this evolved.

Like other criminal justice programs, CeaseFire was vulnerable to the vagaries of funding fluctuations. Policymakers in particular
will want to read sections of the evaluation to understand how the program was funded and the role that fluctuations played
throughout the years. Also, CeaseFire was a small-scale program. Although it varied among the sites, the typical CeaseFire
site's annual budget during the period covered in the evaluation was about $240,000. In the summer of 2007, the program was
dramatically downsized because of budget cuts. The researchers found that they did not have enough data to do a rigorous statistical
analysis of this cutback’s impact. They did state, however, that "[a] detailed examination of the existing data did not reveal
any dramatic shifts in crime following the closures [of CeaseFire sites], when compared to trends in the comparison areas."

CeaseFire is still running in 16 Chicago communities and six other Illinois cities. The CeaseFire model is going national.
Recently, CeaseFire has collaborated with the Baltimore City Health Department to set up the model in four sites. Parts of
the model are being implemented in Kansas City, Mo., and officials are considering implementing it in Columbus, Ohio; Detroit;
Jacksonville, Fla.; and New Orleans. Other programs modeled on CeaseFire are being launched in eight New York cities, including
Albany, Buffalo, New York City, Rochester and Syracuse.

The NIJ evaluation was supported by the Bureau of Justice Assistance and the Office of Juvenile Justice and Delinquency Prevention.

NIJ Journal No. 264, November 2009NCJ 228386

About the Author

Nancy Ritter is a writer with the National Institute of Justice. She is a former editor of the NIJ Journal.

Notes

[1] Skogan was the lead investigator on the NIJ-funded evaluation. Other researchers who participated in the evaluation include
So Yung Kim (Korea Advanced Institute of Science and Technology); Richard Block (Loyola University Chicago); Andrew Papachristos
(University of Massachusetts Amherst); and Susan Hartnett and Jill DuBois (Northwestern University).

[2] Crime and violence decreased throughout Chicago in both the target and the comparison sites during the time that the researchers
considered data, so they used fairly complex analyses to examine whether crime dropped significantly, hot spots visibly moved
or cooled, and gang homicide weakened more in the CeaseFire sites than in the comparison areas.